Cardiac Arrest and Intra Osseous Infusion (ACCIO)
|Cardiac Arrest||Other: Obtention of vascular access in out-of-hospital cardiac arrest patients according to the current strategy|
|Study Design:||Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Obtaining Vascular Access (Venous or Intraosseous) During Cardiac Arrest in Out-of-hospital Care: Delays and Failure Risk Factors|
- functional vascular access [ Time Frame: at inclusion (day 0) ]time for obtaining a functional vascular access from the beginning of out-of-hospital cardiac arrest management
|Study Start Date:||June 2012|
|Study Completion Date:||March 2013|
|Primary Completion Date:||March 2013 (Final data collection date for primary outcome measure)|
Experimental: vascular access in out-of-hospital cardiac arrest patients
Obtention of vascular access according to the current strategy, ie after one unsuccessful attempt to obtain a peripheral venous access, use of an intra osseous device
Other: Obtention of vascular access in out-of-hospital cardiac arrest patients according to the current strategy
Current strategy of obtention of a vascular access : first attempt by peripheral venous access and if failure switch to intraosseous route
In 2010, the European Resuscitation Council and the International Liaison Commitee on Resuscitation have made new recommendations about management of cardiac arrest. The intraosseous infusion was described as an alternative to the peripheral venous access, before the intra tracheal way for adrenaline administration. But this work doesn't specify the delay and the circumstance for this use: time to obtain a vascular access, number of failure, difficulty to obtain a venous access. Furthermore the recent improvements in intraosseous devices may make it relevant to compare intra osseous infusion and venous access in first intention in adult's cardiac arrest in view of the significant number of venous failures and of the subsequent delay of adrenaline administration.
The goal of this preliminary study is to inform the delay to obtain a vascular access by evaluation of a current care (using intravenous infusion after one peripheral venous access failure) and to determine the potential failure's risk factors of venous access.
Main objective: estimate the delay to obtain an effective vascular access (peripheral venous access, intra osseous infusion, central venous access) in resuscitation of adult's cardiac arrest by out of hospital care unit according to the international recommendations.
Study design: monocentric prospective cohort of consecutive patients presenting with out-of-hospital cardiac arrest.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01803971
|Study Chair:||Paul PEREZ, MD, PhD||University Hospital Bordeaux, France|
|Principal Investigator:||Bruno SIMONNET, MD||University Hospital Bordeaux, France|